Active NPI
Shaghayegh Mirshahi, M.D.
- Internal Medicine Physician
- Purchase, NY
National Provider Identifier
1356761340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101264340
- Practice address
- 2 Manhattanville Rd
Purchase, NY 10577-2113 - Phone
- (203) 635-2002
- NPI assigned
- Apr 17, 2014
- Reactivated
- Apr 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101264340 | VA | Primary |
Addresses
Primary practice location
2 Manhattanville Rd
Purchase, NY 10577-2113
Mailing address
2 Manhattanville Rd
Purchase, NY 10577-2113
Phone (203) 635-2002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101264340 | VA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1356761340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 MANHATTANVILLE RD",
"city": "PURCHASE",
"state": "NY",
"postal_code": "105772113",
"telephone_number": "203-635-2002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MANHATTANVILLE RD",
"city": "PURCHASE",
"state": "NY",
"postal_code": "105772113",
"telephone_number": "203-635-2002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRSHAHI",
"first_name": "SHAGHAYEGH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-17",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"deactivation_date": "2018-04-11",
"reactivation_date": "2018-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101264340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Purchase, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.